Nicollette Erickson, MA, LPCC, LADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

778 Issued in MN

Practice address

2277 Highway 36 W
Suite 310
Roseville, MN 55113-3804

Phone

(612) 819-0378

NPI assigned

Apr 27, 2015

Last updated

Apr 27, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430092800000",
    "number": "1861879983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 CAVELL AVE S",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554262317",
            "telephone_number": "612-819-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2277 HIGHWAY 36 W",
            "address_2": "SUITE 310",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133804",
            "telephone_number": "612-819-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "NICOLLETTE",
        "credential": "MA, LPCC, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-27",
        "last_updated": "2015-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "302862",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Empower Health Services LLC
• Enchanted Care LLC (Enchanted Care)
• James Owen Engen, MA, LMFT
• Deborah Kay Erickson, LICSW
• James Arthur Erickson, MD
• Erskine M Caperton MD PA
• Essential Home LLC
• Estates at Roseville LLC
• Bruce Estrem
• Christine Jill Etter, RPH

• Professional Counselor in Roseville, MN
• Providers in Roseville, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.